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Fcps-1 Past Paper:

Surgery
th
Evening 17 Sept 2019

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Surgery Evening 17th Sept 2019:


1. Amino acid in DNA ---(Histidine)
2. Dec. alveolar ventilation ---(Hering beur stretch reflex)
3. Prostate metastasis ------(Vertebrae)
4. Prostate drain in ------(Internal iliac)
5. Internal rotation of arm---Subscapularis
6. CO2 transport is an example of ---(positive feedback/negative feedback/feed forward System)
7. All shoulder adductors lost ------(upper tunk + posterior cord)
8. Loss of Deltoid action ---------(20-90 abduction lost)
9. Low Na, high KT, normal TSH------(Addison’s disease)
10. Rt arm + legs weaknesss + left deviatiin of mouth ---(inter capsule)
11. Epithelium without basement membrane------(ependymal)
12. Ansa nerrosa supporting cells ---------(pitoicytes)
13. Most superior structure in parotid ---------(facial nerve)
14. Cushing syndrome characteristic feature ------(purplish striac)
15. Nephron producing maximally concentrated urine ------(PCT)
16. Pop smear shows enlarged nuclei and koilocytosis ------(Dysplasia)
17. Optic tract damage------------------(Homonoyms hemianopia)
18. Bacterial endocarditis ---------------(strep. Viridans)
19. Peanut lidged in lungs at ---------------(rt inferior lobe)
20. Osteomyctis causing organism------------(staph. Acres )

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21. Menigism findings in child ---------------(ecoli)
22. Yellow granules AFB –ie fever---------------(actinoneyeosis)

23. Blue colored nucleus cells  catecholamine ---------(neuroblastoma)


24. Diagnostic for pneumonia ---------------(Blood culture /sputum )
25. Side-effect of protamine ---------------(Hypotension)
26. Side-effect of Bupricane ---------------(Tinnitus)
27. Measuring renal blood flow ---------------PAH
28. Increase in transverse thoracic diameter ---------external intercostal
29. Vesicles in forehead and orbital region nerve ------ophthalmic nerve
30. Unable to stand from sitting position ---------Iliopsoas
31. Total fluid in intercellular compartment ---------28L
32. Agglutinin free blood group ---------------Aglutinin free blood group AB+
33. Calf pain on walking,artery involved ------------popliteal
34. Cells that do not regenerate ---------------permanent cells
35. Enzyme to order in first 2 house of MI? ----Ckmb
36. Internal spermatic fascia derived from ---------transverses fascia
37. 2 days of fever rigors coma ---------------p.falciparum
38. Cola colour urine + splenomegaly + fever ---------p. falciparum
39. CEA raised + 10 days hx of diarrihea abd pain ------Ca colon
40. Columner epithelium in esophagus predisposes ------adenocarcinoma
41. Sarcoidosis scenario finding ---------------granuloma with asteroid
42. Trauma to thigh hemorrhage bony formation at site---metaplasia
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43. Progressive dysphagia to solid + weight loss--------- Ca Esophagus
44. Systemic symptoms in inf. Tausilites scenario due to ---IL1 and TNF
45. Increase production of neutrophils by---------IL2
46. Cause of anaphylactic shock---------------histamine medicated
47. Hyperkalemia compensatory response by kidenys ------inc. H+ ions secretion
48. Cells in pulmonary system depend on ---------O/K+ atpase
49. Mixed venous blood found in ------------pulmonary artery
50. Factor responsible for thromboembolism ---------endothelial injury
51. AML scenario genetic translocation ------------9:22
52. Removal of 3rd moral inf. develops in ---------maxillary sinus
53. 20 years girl + bone tumor in tibia +giant cells on histology---Giant cell trauma
54. Most common cause of prolonged BT---------aspirin ingesetion
55. Injection side in buttocks ---------------Supero lateral quotient
56. True about smooth muscles ---------------have inner cicular cuter longitudinal
57. Drug with aqeous diffusion ---------------Digoxin
58. Podiatry aderoma scenerio cell increased ---------sasinophills
59. Abd. Symptoms + easinophillia ------------Amoebic liver
60. Diarrhea + villous artrophy improved on gluter free diet---giardiasis
61. Blood supply of head of femur in children ---------obturator artery
62. Stone in parotid duct mechanism ------------apoptosis
63. Structure dividing submandibutor gland ---------mylohoid
64. Radial artery passes between tendons of ---------FCR.. BR
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65. Dilator muscle of ileal opening ------------circular muscles from ileam
66. 1st cry of child most importand for ------------pulmonary function
67. C)2 % dissolved in blood ---------------7.5% of 23 ? 27?
68. New born child ------------------C-shaped cord / oval thorax?
69. Oat cell carainoma associated marker---------ACTH
70. Pulmonary diseases differentiating test ---------FEV/FES
71. 1st sign of Vit A deficiency ---------------night blindness
72. Pterygimandibur raphe extended to from ---------myelohyoid
73. DKA insulin choice------------------Regular insulin ------
74. Deusion of renal transplant is based on ---------creatinine clearance level
75. Function of femoral canal---------------lodge lyuph node
76. 2*2 test option for best choice------------chi square
77. Marker for papillary thyroid carcinoma ---------calcitonin
78. Supply of middle cranial dura ------------trigeminal
79. Thermal receptors completely adapt to temp outside --------------comfortzone
80. MOA of cabergesline ------------------D2 agonist
81. Patient on dopamine against decreased level of ------prolactin
82. True for type C fibres ------------------highly sensitive to local anesthetics
83. Pregnant female + village visit + hypatitis symtoms ------Hep E
84. True about left kidney ---------------cuboidal cell brush border
85. CKD scenario create 8 demage to which ---------macula lussa? jurta? glomenlus? pet?
86. Anterior relation of rt kidney ---------------2nd part of duodenum
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87. Cells utilizing 70% oxygen at rest ------------cardiac
88. Circadian ACTH & mlatonin from ------------suprachiasmatic
89. Vaccine with dead pathogen ---------------pertussis
90. Stimulation of thirst by ---------------angiotensin
91. Complication of total parenteral nutritious ---------hyperglycemic
92. Maximum concentration of ACTH in ------------venous pituitary blood
93. Drainage of fundus lympnodes into ------------celiac nodes
94. C8D relation to pancreas ---------------lies posterior
95. Trachea starts at ------------------C6
96. SA node supplied by ------------------RCA
97. Clavicle pushed into coracoid damage to ---------acromioclavicular ligament
98. Granulamatous necrosis ---------------syphilis
99. Artery palpable at junction of mandible and ant. Border ---Facial protoplasmic astrocyts
Of masetter

100. Going up in lift balance maintained by---------saccule


101. Nephrotic syndrome mechanism of edema ---------Dec. oncotic pressure
102. Right crus of diaphragm ---------------related to first 3 lumber vertebrae
103. Relation of roof of lateral ventricle ant. Horn ------genu of carpus
104. Diaphragm develop from ---------------septum transversum/ cervical somites
105. Necrosis in MI------------------coagulative necrosis
106. Fast food diet MCV 122---------------folate deficiency
107. Dietitian advice to eat what for vitamins ---------vegetables
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108. LXA cut off supply interrupted to ------------past surface of LV

109. Common characteristics of DIC------------ D. dimers


110. Hormones not increased in 2nd trimester ---------growth hormone
111. Part of ECG coinciding with “a” wave ---------PR interval
112. Maturation of seminiferous tubules by ---------androgen and FSH
113. Why SD is plotted with mean------------gives variability of data
114. Past infection + child + BT prolonged---------ITP
115. Action of beta-adrenergic ---------------Lipolysis + glycogenosis
116. MOA of popirin ------------------inhibits TXA2
117. Dec callegen + poor healing + dec collagen ---------fibroblast
Problem with which cels

118. Thrombocytopenia large platelets ------------ITP


119. Asthenia concernant finding ------------increased seram osmolarity
120. BP below 60mmHg causes activation of ---------Baroreceptors
121. 2nd blood transfusion 10 days past transfusion ------Decreased hemolytic reation
Low hb cola wine loouts positive cause

122. Ptosis after trauma lesion at ------------C3/C4 level


123. Only liver has ability to ---------------urea synthesis
124. Pelvic diaphragm mostly composed of ---------levator ani

125. Difference b/w anaphylactic and hyporolemic ------ coin anaphylack


Shocks

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126. 11 weeks gestation test for down syndrome ------ultrasound
127. Increase exercise changes include ------------decreased TPR
128. Common location of weteric stone ------------pelvic brim
129. Stongest layer of GIT------------------submucosa
130. Rheumatic fever scenario Tx asked ------------peniciuin + entamysine
131. Draining jaw abcess after maxillary wire used ------staph aures
Organism

132. Investigation fir confirmation of endocarditis ------blood culture


133. Carcinoma larynx associated with which virus ------EBV
134. Autosomal disease not expressed pattern ---------incouple penetrance
135. Matching of reflexes to spinal segments ---------biceps (C6)
136. 40 years + abdominal discomfort + massive---------myelofibrosis
Splenomegaly

137. Most common organism in osteomyelitis ---------staph cureus


138. Mother has Ca breast dauger curious test ---------BRCA1/2
139. Trauma to kidney garrote is intact where will------Pelvis
Urine go

140. Damage to bulbar urethra urine pools in ---------scrotum


141. Bare area of liver ligament ---------------coronary ligament
142. Increased pulse pressure in ---------------increase pulse pressure
143. Tubular adenoma 10 years Hx diarrhea---------Ca colon
144. Mechanism of action of viruses ------------change in protein synthesis
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145. Viruses affect via ------------------protoncogene
146. Mechanism of mitochondrial replication ---------self DNA replication
147. Amebic abscess investigation ------------serology astigon
148. Required for activation of trypsinogen ---------ecnterotinase
149. Chronic inflammation finding in granuloma ------Langerhans cells
150. Side effects of thiazide divetic ------------hypercalcemia
151. Which is important to prevent complications ------having knowledge of disease pathology
152. Benign tumor ------------------Warthin tumor
153. Last common motor pathway------------aphe efferent in spinal cord
154. True about primary motor area------------related to voluntary movements
155. On ovulation ovum released is ------------secondary oocyte
156. Post ganglionic supply of adrenal ------------greater splanchnic
157. Next to interlanuiner space in LP------------epidural space
158. True about pia matter---------------invaginate at gynei and sulci
159. True about thyroid ------------------enclosed in pretracheal fascia
160. Cerebral metastasis + smoker site of primary ------Lungs
Tumor

161. Pharmacokinetics ------------------sucralfate doesn’t let cimetidine get


---------------------------Absorbed (repeated several times)

162. Lymph flow decreases in ---------------hemorrhage


163. Nerve trunk stimulated potential ------------spike / compound
164. RBC in pulmonary artery ---------------acidification of RBC
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165. Venous blood contains---------------inc. HCO3/ Inc . chloride
166. pH=7.3 HCO3=20 PCO2=38---------------uncompensated metabolic acidosis
167. most common wound organism in hospital ---------staph aueus
infection

168. klinenfelter karyotype ---------------47XXY


169. Mature tissue in testicular carcinoma---------teratoma
170. Scar extending beyond wound side------------keloid
171. HIV related skin malignancy ---------------Kaposi sarcoma
172. Superior cardiac plexus supplied by ------------left vagus
173. Insulin secretion is increased by ------------secretin
174. Extrinsic and intrinsic pathway converge at---------Thrombin / stout
175. True about macrophages ---------------derived from monocyte
176. EEG wave in anaesthesia ---------------lower frequency wave
177. Iron transporter in blood---------------transferrin
178. Most important for metastasis ------------E-cadherin
179. Gardener + chest pain + x-ray lesion ---------aspergillosis
180. Causative organism of subacute endocardia------strep viridous
181. Amino acid in DNA------------------histidine
182. HIV patient floor cleaning ---------------1% hypochlorite
183. Drainage of lateral breast nodes ------------pectoral nodes

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